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MARISA L CRENSHAW APRN
NPI 1124295852
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY

Active since May 12, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5722 OUTER LOOP, LOUISVILLE, KY 40219(502) 921-0222(502) 921-0222 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 2, 2023, Jan 12, 2021, Feb 9, 2016 (3 updates tracked since 2016).

About Marisa L Crenshaw Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISA L CRENSHAW APRN (NPI 1124295852) is an individual psychiatric/mental health provider in Louisville, Kentucky, licensed in Kentucky (3007792) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2006).

NPPES Registry Identity

NPI1124295852
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARISA L CRENSHAWCredential: APRN
Location Address5722 OUTER LOOPLouisville, KY 40219-4156
Mailing Address5722 Outer LoopLouisville, KY 40219-4156 · (502) 921-0222 · Fax (502) 921-0222
Phone(502) 921-0222
Fax(502) 921-0222
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2006
Enumeration DateMay 12, 2008
Last NPPES UpdateNovember 2, 20233 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1124295852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 3007792
5722 OUTER LOOP, Louisville, KY 40219
Open in Google Maps ↗

Other Identifiers 2

Medicaid7100230720KY
Medicaid201258840IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marisa L Crenshaw Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789732488
PECOS Enrollment IDI20130116000568
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Marisa Crenshaw reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nulease Medical Solutions LLC
Same address
Addiction Medicine
5722 OUTER LOOP
Louisville, KY 40219
  • Reassigned Medicare billing, Kentucky enrollment
  • 6 clinicians in this Medicare group
NPI 1194254219 (502) 492-7455
Norton Hospitals Inc
9.1 mi
Multi-Specialty
676 S FLOYD ST
Louisville, KY 40202
  • Reassigned Medicare billing, Indiana enrollment
  • 61 clinicians in this Medicare group
NPI 1073568879 (502) 629-3114
Fanno Creek Clinic LLC
1,960 mi
Internal Medicine
2400 SW VERMONT ST
Portland, OR 97219
  • Reassigned Medicare billing, Oregon enrollment
  • 54 clinicians in this Medicare group
NPI 1609876705 (503) 452-0915

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NULEASE MEDICAL SOLUTIONS LLC
Internal Medicine
5722 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 492-7455
NULEASE MEDICAL SOLUTIONS LLC
Clinical Medical Laboratory
5722 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 492-7455
NULEASE MEDICAL SOLUTIONS LLC
Family Medicine (Addiction Medicine)
5722 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 492-7455
NULEASE MEDICAL SOLUTIONS LLC
Pain Medicine (Interventional Pain Medicine)
5722 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 434-5390
SHANNON CALES
Respiratory Therapist, Registered
5722 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 492-7455
DR. BRETT T. WAHLGREN M.D.
Anesthesiology
5722 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 492-7455
TRACY PENNINGTON LCSW
Social Worker (Clinical)
5722 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 492-7455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisa Crenshaw's NPI number?

The NPI number for Marisa Crenshaw is 1124295852. It was assigned to this individual provider in the NPPES registry on May 12, 2008.

Where is Marisa Crenshaw located?

Marisa Crenshaw practices at 5722 Outer Loop, Louisville, KY 40219. The listed phone number is (502) 921-0222.

What is Marisa Crenshaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Marisa Crenshaw enrolled in Medicare?

Yes. Marisa Crenshaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marisa Crenshaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Crenshaw reassigns Medicare benefits to 3 organizations: Nulease Medical Solutions LLC (Louisville, KY), Norton Hospitals Inc (Louisville, KY) and Fanno Creek Clinic LLC (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marisa Crenshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marisa Crenshaw accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Marisa Crenshaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marisa Crenshaw was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.